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J Atr Fibrillation. 2014 Feb 28;6(5):990. doi: 10.4022/jafib.990. eCollection 2014.

Sustained Dissociated Irregular Tachycardia in Two Pulmonary Veins After Radiofrequency Ablation of Atrial Fibrillation.

Journal of atrial fibrillation

Andreas Haeberlin Md, Hildegard Tanner Md

Affiliations

  1. Department of Cardiology, Bern University Hospital, Inselspital, Bern, Switzerland (A.H., H.T.) ARTORG Cardiovascular Engineering, University of Bern, Bern, Switzerland (A. H.).

PMID: 27957041 PMCID: PMC4956129 DOI: 10.4022/jafib.990

Abstract

A 64-year-old woman underwent radiofrequency ablation of atrial fibrillation. After pulmonary vein (PV) isolation, she converted into sinus rhythm. However, irregular PV tachycardia "trapped" in the right and left superior pulmonary vein (RSPV/LSPV) sustained. Fifteen minutes after RSPV isolation, the RSPV tachycardia terminated. However, sustained LSPV tachycardia was still present after one hour. Three months later, a relapse of AF was confirmed and the patient underwent re-ablation. Re-conductance was observed in the RSPV and LSPV.

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